Effect of Intra-Operative Hypothermia on Post-Operative Morbidity in Patients with Colorectal Cancer

Fahim, Milad; Dijksman, Lea M.; Biesma, Douwe H.; Noordzij, Peter G.; Smits, Anke B.

doi:10.1089/sur.2020.229

Cited by 6 publications

(5 citation statements)

References 17 publications

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“…The body's inability to retain heat at a rate commensurate with the heat lost can be attributed to several factors, including environmental conditions, the efficiency of the body's thermoregulatory mechanisms, and the presence of any underlying health issues that may impair heat production or conservation [ 33 , 34 ]. Body temperature is closely related to ambient temperature [ 35 ]. It has been reported that the ambient temperature within the operating room should be meticulously maintained within the range of 22–25 °C [ 36 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

Intraoperative hypothermia in patients with laparoscopic surgery: Influencing factors and prevention strategies

Shen,

2024

Heliyon

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Section: Discussionmentioning

confidence: 99%

Intraoperative hypothermia in patients with laparoscopic surgery: Influencing factors and prevention strategies

Shen,

2024

Heliyon

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“…For patients undergoing colorectal cancer surgery, active heating by means of a forced-air warming system can effectively prevent perioperative hypothermia [19,20]. In light of guidelines for intraoperative temperature management issued by the American Society of PeriAnesthesia Nurses (ASPAN) [21] and the UK National Institute for Health and Care Excellence (NICE) [22], forced-air warming system is recommended as the standard measure for active heating during operation.…”

Section: Discussionmentioning

confidence: 99%

Effects of different insulation temperatures of an inflatable insulation system on patients receiving right hemicolectomy using the laparoscopic caudal approach

Wang

2022

Postępy Higieny I Medycyny Doświadczalnej

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Introduction The study assesses the effects of different insulation temperatures of an inflatable insulation system on right hemicolectomy. Materials and Methods A total of 132 patients receiving right hemicolectomy using the laparoscopic caudal approach were randomly divided into four groups. The inflatable insulation system was used immediately after they entered the operating room. The perioperative core body temperature, blood coagulation index, stress index, recovery time from anesthesia, and postoperative BIS recovery were recorded 5 minutes before induction of anesthesia (T0), immediately (T1), 30 minutes (T2), 60 minutes (T3), and 120 minutes after induction of general anesthesia (T4), and at the end of operation (T5). Results Group C had significantly lower IL1, IL-6, IL-23, IL-13, IL-17A, TNF-α, and CRP levels but a higher IL-12 level than those of other three groups (P < 0.05). The MAP and HR values of groups A and C were significantly lower than those of groups B and D at T2, T3 and T4, which were lowest in group C (P < 0.05). The blood glucose levels of groups A and C during and after operation were lower than those of groups B and D, being lowest in group C (P < 0.05). The anesthesia recovery time and extubation time of groups A and C were shorter than those of groups B and D, being shortest in group C (P < 0.05). The time from discontinuation to BIS>80 of group C was significantly shorter than those of other three groups (P < 0.05). Conclusions Comprehensive insulation (43°C automatically adjusted to 38°C after 1 hour) exerts satisfactory effects on right hemicolectomy.

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“…To ensure the quality of the data set, a perioperative nurse and an anesthesiologist inspected the temperature data. When the recorded temperature dropped to less than 30° C (86° F) or there were sudden drastic fluctuations (ie, at least 1° C [1.8° F]) in temperature values that could not be explained according to surgical reasons or natural physiology, we attributed the values to technical errors (eg, dislocation of the probe, disconnection of the probe wire) and excluded the values from the sample 22 . Incomplete data (recording intervals greater than 30 minutes) occurred randomly, and the elimination of these samples was not considered to affect the analysis of data.…”

Section: Methodsmentioning

confidence: 99%

A Nomogram for Predicting Unplanned Intraoperative Hypothermia in Patients With Colorectal Cancer Undergoing Laparoscopic Colorectal Procedures

Yan¹,

Jian-cheng²,

Chen³

et al. 2022

AORN Journal

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Unplanned intraoperative hypothermia is a complication that can lead to a variety of negative outcomes, such as cardiovascular events. We aimed to develop and validate an intraoperative hypothermia risk prediction nomogram for patients with colorectal cancer undergoing laparoscopic colorectal procedures. We conducted a prospective cohort study with 1,091 patients (ie, 765 in the training cohort, 326 in the validation cohort) from October 2020 to November 2021. We included six predictors in the nomogram model: body mass index, diabetes diagnosis, ambient temperature, ambient humidity, duration of surgery, and use of a forced‐air warmer. The model performed well, and the area under the curve was 0.855. These results, together with an external validation value, mean that health care professionals can use the nomogram to calculate the intraoperative hypothermia risk for patients undergoing laparoscopic colorectal procedures and make clinical decisions based on the results.

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Effect of Intra-Operative Hypothermia on Post-Operative Morbidity in Patients with Colorectal Cancer

Cited by 6 publications

References 17 publications

Intraoperative hypothermia in patients with laparoscopic surgery: Influencing factors and prevention strategies

Intraoperative hypothermia in patients with laparoscopic surgery: Influencing factors and prevention strategies

Effects of different insulation temperatures of an inflatable insulation system on patients receiving right hemicolectomy using the laparoscopic caudal approach

A Nomogram for Predicting Unplanned Intraoperative Hypothermia in Patients With Colorectal Cancer Undergoing Laparoscopic Colorectal Procedures

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